Restoration of Function in Upper Limb Paralyses and Muscular Defects

Raoul Tubiana, Alain Gilbert, Caroline Leclercq, Rene Malek

• Introduction 1. Upper Extremity Paralysis and Muscular Deficits 2. Surgical Classification of Upper Limb Paralyses 3. Examination of Upper Limb Paralyses 4. Electrodiagnosis in Upper Extremity Paralysis 5. Basic Notions of Biomechanical Physics 6. Biomechanical Research on Muscle--Tendon Transfers 7. Free Functioning Muscle Transfer 8. Normal and Pathological Mechanics of the Shoulder 9. Paralytic Disorders of the Shoulder Girdle 10. Normal and Pathological Mechanics of the Elbow and Pronosupination 11. Paralyses of the Elbow: Flexion and Pronosupination 12. Normal and Pathological Mechanics of the Wrist 13. Restoration of Extension of Wrist and Digits 14. Normal and Pathological Mechanics of the Digits 15. Restoration of Flexion of the Fingers 16. Normal and Pathological Biomechanics of the Thumb 17. Restoration of Thumb Opposition 18. Restoration of the Intrinsic Muscles of the Long Fingers 19. Restoration of Thumb--Index Lateral Pinch 20. Adult Brachial Plexus Paralyses 21. Obstetrical Paralyses: Primary Surgery 22. Obstetrical Paralyses: Sequellae 23. Timing of Reconstructive Surgery after Peripheral Nerve Lesions 24. Paralytic Aspects of Nerve Entrapments 25. Sensory Palsy 26. Re-education after Sensory Nerve Transfer 27. Volkmann's Contracture 28. Compartment Syndromes of the Upper Limb 29. The Tetraplegic Upper Limb 30. The Spastic Upper Limb and its Surgical Rehabilitation 31. Hand Reconstruction in Leprous Palsies 32. Restoration of Function of the Upper Limb after Tendon Transfer.